Active NPI
Jessica Canavan
- Physician Assistant
- Gainesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 7051 Heathcote Village Way Ste 230
Gainesville, VA 20155-3266 - Phone
- (571) 472-4200
- Fax
- (703) 279-4201
- NPI assigned
- Dec 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
7051 Heathcote Village Way Ste 230
Gainesville, VA 20155-3266
Mailing address
7051 Heathcote Village Way Ste 230
Gainesville, VA 20155-3266
Phone (571) 472-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30017807210001 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240320001149 | VA | Practitioner - Physician Assistant | 9234576752 | Reassigns benefits to 4 organizations |
| I20241213001828 | DC | Practitioner - Physician Assistant | 9234576752 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Inova Health Care Services
Practice addresses (Care Compare)
44055 Riverside Pkwy
Suite 110
Leesburg, VA 20176-5155
Phone (703) 391-4500
Hospital & facility affiliations
- Inova Fair Oaks Hospital
- Inova Alexandria Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Loudoun Medical Group, PC | Current | Accepting new patients | |
| Valley Physician Enterprise, Inc | Current | Accepting new patients | |
| Valley Physician Enterprise, Inc. | Current | Accepting new patients | |
| Loudoun Medical Group, PC | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients |
Locations
6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700
20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652
3800 Fettler Park Dr
Ste 312
Dumfries, VA 22025
Phone (571) 472-6791
8081 Innovation Park Dr
Ste 900
Fairfax, VA 22031
Phone (571) 472-4200
3620 Joseph Siewick Dr
Ste 400
Fairfax, VA 22033
Phone (703) 264-7801
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300
7051 Heathcote Village Way
Ste 230
Gainesville, VA 20155
Phone (703) 391-4500
44055 Riverside Pkwy
Ste 110
Leesburg, VA 20176
Phone (703) 391-4500
224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001
19450 Deerfield Ave
Ste 325
Leesburg, VA 20176
Phone (571) 252-8119
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700
220 Campus Blvd
Ste 210
Winchester, VA 22601
Interoperability endpoints
- jcanavan1235586@soc.inova.org
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1629847397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7051 HEATHCOTE VILLAGE WAY STE 230",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201553266",
"telephone_number": "571-472-4200",
"fax_number": "703-279-4201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7051 HEATHCOTE VILLAGE WAY STE 230",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201553266",
"telephone_number": "571-472-4200",
"fax_number": "703-279-4201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANAVAN",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-22",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30017807210001",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.